| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.93 | $15.93 | $15.93 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 |
Positron emission tomography radiopharmaceutical, diagnostic, for nontumor identification, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.93 | $15.93 | $15.93 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 |